Individual provider Active NPI

Elizabeth Brooks Scism, FNP-C

  • Family Nurse Practitioner
  • Denver, NC
National Provider Identifier
1760647127
Registry record updated Mar 7, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
5004032 Issued in NC
Practice address
275 N NC-16 Hwy Bus, Ste 104
Denver, NC 28037-3008
Phone
(704) 487-4677
Fax
(704) 481-8050
NPI assigned
Jul 25, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 7, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 5004032 NC Primary

Addresses

Primary practice location

275 N NC-16 Hwy Bus, Ste 104
Denver, NC 28037-3008

Mailing address

PO Box 470408
Charlotte, NC 28247-0408
Phone (704) 887-6402

Other identifiers 2

IdentifierTypeStateIssuer
1760647127MedicaidNC
NCK151C494OtherNCMEDICARE NC

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20080908000378 NC Practitioner - Nurse Practitioner 7810063336 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Equity Health Services, PLLCGroup PAC ID 5395160436, 9 clinicians

Practice addresses (Care Compare)

275 N NC 16 Business Hwy
Suite 104
Denver, NC 28037-3002
Phone (704) 489-3440

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
5004032NCMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Balsam Health of the Carolinas, PLLC CurrentSince Mar 6, 2020 Accepting new patients
Equity Health Services, PLLC CurrentSince Jan 1, 2022 Accepting new patients
Piedmont Family Services Past Accepting new patients
Piedmont Family Services Past Accepting new patients

Locations

2908 Country Home Rd
Ste 101
Concord, NC 28025
Phone (704) 866-0101

455 Concord Pkwy N
Unit 6449
Concord, NC 28027

275 N NC 16 Business Hwy
Ste 104
Denver, NC 28037
Phone (704) 340-5852

3407 W Wendover Ave
Ste D
Greensboro, NC 27407
Phone (336) 589-1223

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 4

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1216944000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1741305600000",
    "number": "1760647127",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 470408",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282470408",
            "telephone_number": "704-887-6402",
            "fax_number": "704-887-6450"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "275 N NC-16 HWY BUS, STE 104",
            "city": "DENVER",
            "state": "NC",
            "postal_code": "280373008",
            "telephone_number": "704-487-4677",
            "fax_number": "704-481-8050"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCISM",
        "first_name": "ELIZABETH",
        "middle_name": "BROOKS",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-07-25",
        "last_updated": "2025-03-07",
        "certification_date": "2025-03-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NC",
            "license": "5004032",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1760647127",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE NC",
            "identifier": "NCK151C494",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Denver, NC

Sources for this page

Verify at the official NPI Registry.